Individual provider Active NPI

Anne K Effron, MSW, LCSW, BCD

  • Clinical Social Worker
  • Montville, NJ
National Provider Identifier
1053331819
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05208800 Issued in NJ
Practice address
170 Changebridge Rd
Suite C-4
Montville, NJ 07045-9115
Phone
(973) 794-6565
Fax
(973) 794-3434
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05208800 NJ Primary

Addresses

Primary practice location

170 Changebridge Rd
Suite C-4
Montville, NJ 07045-9115

Mailing address

39 Stonewall Dr
Livingston, NJ 07039-1837
Phone (973) 699-1207

Other identifiers 2

IdentifierTypeStateIssuer
226877000OtherNJMAGELLAN PROVIDER #
42541OtherNJCIGNA PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220418001588 NJ Practitioner - Clinical Social Worker 0749677961 Practice locations: Pine Brook, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

328 Changebridge Rd
Suite 200
Pine Brook, NJ 07058-9805
Phone (973) 699-1207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1053331819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 STONEWALL DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391837",
            "telephone_number": "973-699-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD",
            "address_2": "SUITE C-4",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459115",
            "telephone_number": "973-794-6565",
            "fax_number": "973-794-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFRON",
        "first_name": "ANNE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05208800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER #",
            "identifier": "226877000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "42541",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.